Developing Data-Rich Video of Surface Water-Groundwater Interactions for Public Engagement.

Communication of hydrologic data to the public can be improved by connecting data to the places they represent. In our example of data communication, we coupled hydrologic data with simultaneously collected video as both a scientific and public engagement tool. This note presents a method for collecting spatially and temporally dense datasets of water-quality and geophysical data on small streams and lakes, and for displaying the data in a user-friendly format using commercially available software. With this method, multiple instruments are mounted on a canoe and a controlled survey float is carried out to collect data. The data stream is georeferenced and logged using an Arduino microcontroller to provide detailed information about spatial variability. We employed these continuous data-collection methods at small streams and lakes across Wisconsin, USA. Comparison of stream-float sensor data to lab reported data, data collected by alternative sensors, and previously collected data in our study areas indicates that the low-cost temperature, electrical conductivity, pH, and dissolved oxygen sensors performed well. GoPro cameras recorded video throughout the duration of data collection. Our established water-quality and geophysical data collection methods are inexpensive, fast, and reliable, which qualify them as excellent tools for fine-scale spatial understanding of stream and lake habitats' health. Data-rich video connects point measurements of water properties to the appearance of the native environment. This method helps improve our understanding of groundwater and surface water interactions in complex hydrogeologic systems, enhance communication amongst stakeholders, and provide context when monitoring and managing sensitive habitats.

Comparison of the Conox (qCON) and Sedline (PSI) depth of anaesthesia indices to predict the hypnotic effect during desflurane general anaesthesia with ketamine.

Comparison of two depth of anesthesia indices, qCON (Conox) and PSI (Sedline), during desflurane sedation and their sensitivity to random ketamine boluses in patients undergoing routine surgery. The performance of desflurane and ketamine on both indices was analyzed for 11 patients, and the ketamine sensitivity was compared with another group of 11 patients under sevoflurane and propofol.The MOAA/S was used to determine sedation level and pain. Different boluses of ketamine ranging from 10 to 30 mg where randomly administered in both groups and the effect on the indexes were measured after 4 min.The indices were recorded during the whole surgery, and their correlations with the desflurane concentration and the discrimination between awake and anesthetized states were evaluated with the prediction probability statistic (Pk). The Pk values, mean (se), discriminating between awake and anesthetized states were 0.974(0.016) for the qCON and 0.962(0.0123) for the PSI, while the 1-Pk statistic for the qCON and the PSI with respect to the desflurane concentration were 0.927(0.016) and 0.918(0.018), respectively, with no statistically significant differences.The agreement between both depth of hypnosis parameters was assessed under the Bland-Altman plot and the Spearman correlation, rs = 0.57(p < 0.001).During the sevoflurane-propofol anesthesia, which served as a control group, both indices experienced a similar behavior with a no significant change of their median values after ketamine. However, during desflurane anesthesia the qCON index did not change significantly after ketamine administration, qCON (before = 33 (4), after = 30 (17); Wilcoxon, p = 0.89), while the PSI experienced a significant increase, PSI (before = 31(6), after = 39(16) Wilcoxon, p = 0.013).This study shows that qCON and PSI have similar performance under desflurane with good discrimination between the awake and anesthetized states. While both indices exhibited similar behavior under ketamine boluses under a sevoflurane-propofol anesthesia, the qCON index had a better performance under ketamine during desflurane anesthesia.

Pill counts and pill rental: unintended entrepreneurial opportunities.

BACKGROUND: Prescription opioid diversion and abuse are becoming increasingly prevalent in many regions of the world, particularly the United States. One method advocated to assess compliance with opioid prescriptions is occasional "pill counts." Shortly before a scheduled appointment, a patient is notified that they must bring in the unused portion of their opioid prescription. It has been assumed that if a patient has the correct number and strength of pills that should be present for that point in a prescription interval that they are unlikely to be selling or abusing their opioids. METHODS: Two cases are presented where patients describe short term rental of opioids from illicit opioid dealers in order to circumvent pill counts. RESULTS: Pill renting appears to be an established method of circumventing pill counts. CONCLUSIONS: Pill counts do not assure non-diversion of opioids and provide additional cash flow to illicit opioid dealers.